OB GYN News articles from April 2003

OB GYN News archives from April 2003

Follow-up care for breast ca survivors. (Long-Term Management).
April 1, 2003... Good primary health care with standard health screening is the best way to manage long-term follow-up care for survivors of breast cancer. Women who have been treated for breast cancer stand a 30%40% chance of recurrence, and complications...

Suctioning doesn't alter meconium aspiration risk: intrapartum suctioning also did not change neonatal mortality rates. (Done Before Shoulder Delivery).
April 1, 2003... SAN FRANCISCO -- Intrapartum aspiration of term infants with meconium-stained amniotic fluid before shoulder delivery did not alter the risk for developing meconium aspiration syndrome in a prospective, randomized, controlled trial in 2,481...

Study: CVS safer, more efficient than early amnio: associated with fewer congenital anomalies. (Large, Randomized Trial).
April 1, 2003... SAN Francisco -- Results of an international randomized trial suggest that chorionic villi sampling is safer and more efficient than early amniocentesis. The study included 3,775 patients randomized to amniocentesis or chorionic villi...

Nulliparity, reductions tied to risk in ART twins. (Slowed Fetal Growth, Preterm Birth).
April 1, 2003... SAN FRANCISCO -- Women who conceive twins through assisted reproductive technologies are at increased risk for complications or adverse outcomes, compared with those carrying spontaneously conceived twins, but the difference in risk is not...

Young breast ca survivors have unique needs. (Fertility Issues).
April 1, 2003... PHILADELPHIA -- Young breast cancer survivors have needs that are unique to their age and not found in older women, presenters .said at a meeting sponsored by Living Beyond Breast Cancer and the Young Survival Coalition. The uniqueness of...

Immediate risks of amnio in third trimester. (Within 48 Hours).
April 1, 2003... SAN FRANCISCO -- Results of the first case-control study of third-trimester amniocentesis suggest the procedure is not associated with an increased risk of obstetric problems within 48 hours of testing. Findings of the 220-patient study are...

VIG 'reasonable' approach to curb fetal vaccinia. (Smallpox Vaccination in Pregnancy).
April 1, 2003... ATLANTA -- A woman who receives the smallpox vaccine without realizing that she is pregnant may benefit from a dose of intravenous vaccinia immune globulin before the time when viremia may occur. At a meeting of the Centers for Disease...

Letters.
April 1, 2003... Mastectomy in U.S., U.K. A recent article related several possible explanations for the increased mastectomy rate in the United States compared with the United Kingdom, including a pejorative suggestion that U.S. surgeons are "out of...

Corrections.
April 1, 2003... In "Don't Overtreat HPV in Adolescents" (Feb. 15, 2003, p. 1), recommendations made in the Consensus Guidelines for the Management of Women With Cervical Cytological Abnormalities were misstated. The consensus guidelines recommend that when...

Should annual pelvic exams be ultrasound assisted? (Pro & Con).
April 1, 2003... YES The bimanual pelvic examination has not been proved to make any difference to women's health in the long run, It does not reliably detect adnexal masses. It can't evaluate ovarian function. It can't look into the endometrial cavity to...

Eight herbal medications pose potential dangers in surgical patients. (Discontinuation Before Surgery Needed).
April 1, 2003... BIG SKY, MONT. -- Eight herbal medications each may have a significant impact on patients undergoing surgery. Results from a 1997 survey indicated that 12% of people in the United States used herbal medications, and recent survey results...

Outpatient anticoagulation works without postponing surgery. (Study of Dalteparin).
April 1, 2003... PHILADELPHIA -- Surgical patients at high risk for thromboembolism were successfully eased off chronic anticoagulation without the need to postpone surgery using an outpatient dalteparin regimen. In a study with 224 patients, the incidence...

Adverse events tied to supplements. (Prospective Study).
April 1, 2003... Inadequate surveillance and underreporting of adverse events associated with the unregulated use of dietary supplements are contributing to a substantial public health hazard. In a prospective study in which 11 U.S. poison control centers...

Erosive lichen planus may be in vulva and vagina. (High Risk Of Vaginal Scarring).
April 1, 2003... HOUSTON -- If a patient has erosive lichen planus of the vulva, chances are she's got it in the vagina as well, and it's essential to treat it there to prevent scarring that could dose the vagina completely according to Dr. Elizabeth Edwards....

Surgical excision best tx for hidradenitis suppurativa, expert says. (Anogenital Disease).
April 1, 2003... HOUSTON -- Surgery remains the treatment of choice for patients plagued by anogenital hidradenitis suppurativa, Dr. Peter J. Lynch said at a conference on vulvovaginal diseases sponsored by Baylor College of Medicine. Surgical excision is...

Stress control, not cure, for chronic genital dermatoses. (Keeping Symptoms at Bay).
April 1, 2003... HOUSTON -- Dr. Elizabeth Edwards has this message for new patients: "Cure is a four-letter word. We don't use it in my office." Many dermatologic conditions can't be cured, but they can be controlled, and dermatoses of the genitalia are no...

Serologic test a must for suspected genital herpes. (Often Misdiagnosed).
April 1, 2003... NEW YORK--"The clinical diagnosis of genital herpes is both insensitive and nonspecific [and] should be confirmed by laboratory testing." So say the Centers for Disease Control and Prevention's most recent Sexually Transmitted Diseases...

Smoking tied to poorer outcomes in locally advanced cervical ca. (A 44% Rise in Disease Progression).
April 1, 2003... NEW ORLEANS -- Smokers with locally advanced cervical cancer have significantly worse outcomes than nonsmokers, a recent study suggests. Of 315 patients with previously untreated stage IIB, IIIB, or IVA cervical cancer who were followed for...

Today sponge reintroduced to U.S. customers through web sites. (Back After 8 Years).
April 1, 2003... The Today contraceptive sponge is back after an 8-year absence. Last month Allendale (N.J.) Pharmaceuticals reintroduced the sponge through two Canadian Internet sites, which can ship the product to customers in the United States. The...

Studies: estrogen may not slow cognitive declines. (Doesn't Appear to Help Memory).
April 1, 2003... High levels of endogenous or exogenous estrogens do not slow the decline of memory and cognition in older women with or without dementia, according to two studies. A study of 202 men and 210 postmenopausal women without dementia examined...

Aggressively treat anal warts in HIV+ patients. (May Progress to Anal Cancer).
April 1, 2003... SAN FRANCISCO--Patients with HIV often have anal warts, which can be very difficult to treat, Dr. Toby A. Maurer said at a meeting on HIV management sponsored by the University of California, San Francisco. But aggressive treatment is...

To-do list for gynecologic exams in HIV+ patients. (Cervical, Anal Pap Smears).
April 1, 2003... SAN FRANCISCO--Dr. Meg Dana Newman offered the following tips on conducting gynecologic exams of women who are HIV positive at a meeting on HIV management sponsored by the University of California, San Francisco: * Conduct a full pelvic...

Same lifetime risk of ovarian ca in BRCA1, 2. (Ashkenazi Jewish Population).
April 1, 2003... NEW ORLEANS--The lifetime risk for ovarian cancer in the Ashkenazi Jewish population is as high in BRCA2 carriers as in BRCA1 carriers, but the disease manifests at a later age in BRCA2 carriers, a recent study suggests. The findings could...

3-D ultrasound alone not useful in screening for early ovarian cancer. (Asymptomatic, High-Risk Women).
April 1, 2003... NEW ORLEANS--Three-dimensional ultrasound was not useful as an independent primary screening tool for early-stage epithelial ovarian cancer in asymptomatic, high-risk women in a recent study. Still, the device may have promise as a...

Blood test for detecting breast cancer shows promise. (Investigational Test Uses Proteomics).
April 1, 2003... SAN ANTONIO--Asimple blood test for breast cancer detection that's substantially more accurate than mammography is drawing closer to clinical reality. And that's not all. The same proteomics technology being harnessed to detect breast...

Expert urges use of modified biophysical profile. (Fetal Monitoring Before Labor).
April 1, 2003... CANCUN, MEXICO - A modified biophysical profile is the best way to monitor a fetus before labor, Dr. Roger K. Freeman said at a conference on obstetrics, gynecology, perinatal medicine, neonatology, and the law. A modified biophysical...

Short-course antibiotics work for PPROM. (No Oral Antibiotics).
April 1, 2003... SAN FRANCISCO -- A 48-hour course of prophylactic intravenous antibiotics in patients with culture-negative preterm premature rupture of membranes should be sufficient to prolong latency without the need for additional oral antibiotics, Dr....

Don't use forceps and vacuum in same patient. (General Rule).
April 1, 2003... CANCUN, MEXICO -- Forceps and vacuum extraction should not as a general rule both be used to assist the same delivery, according to Dr. Frank H. Boehm. "The worst outcomes--seizures and hemorrhage--are increased when both are used. A...

Treat chronic HT in pregnancy to avoid end organ damage. (May Not Prevent Preeclampsia).
April 1, 2003... SARASOTA, FLA. -- Treatment of chronic hypertension in pregnancy does not appear to prevent preeclampsia, but it can prevent end organ damage and should be considered in patients with a diastolic blood pressure greater than 100 mm Hg, according...

Data watch.
April 1, 2003... DATA WATCH States With the Highest and Lowest Cesarean and VBAC rates in 2001 Cesarean Delivery Rate * Top 5 Bottom 5 Louisiana 29.9 Utah 17.2 Mississippi 29.7 Vermont 17.8 New Jersey 28.9...

Herbal medicines. (Drugs, Pregnancy and Lactation).
April 1, 2003... Because half of all pregnancies are unplanned, many women take herbal medicines in the first trimester before they know they are pregnant; others knowingly take these agents throughout pregnancy A common misconception is that herbals are safe...

Placenta removal after C-section: wait 5 minutes. (Spontaneous Delivery Urged).
April 1, 2003... SAN FRANCISCO -- Waiting 5 minutes to allow spontaneous delivery of the placenta after cesarean delivery reduces the risk of significant blood loss, compared with manual removal of the placenta, Dr. Michel Ange Morales reported at the annual...

Cervical ripening options produce similar results. (Three Techniques Compared).
April 1, 2003... SAN FRANCESCO -- Three techniques for prelabor cervical ripening--intravaginal misoprostol, intracervical Foley catheter, or both-worked equally well in a prospective, randomized study of 146 women. There were no significant differences...

CHD prevention underused in older, high-risk women. (Statins, [beta]-Blockers).
April 1, 2003... Preventive therapies are underprescribed for postmenopausal women with preexisting coronary heart disease, according to data from the Heart and Estrogen/Progestin Replacement Study Research Group. The study included 2,763 postmenopausal...

Activity deserves equal time in type 2 diabetes tx. (More Significant Risk Factor than BMI).
April 1, 2003... NEW YORK--Physical activity and fitness deserve greater attention in the prevention and management of type 2 diabetes, Steven N. Blair, PED, said at a conference sponsored by the American Diabetes Association. Recent studies from the...

Doctors urged not to overlook pituitary tumors. (Not as Rare as Once Thought).
April 1, 2003... NEW YORK -- Consider the possibility of pituitary tumors in the differential diagnosis of any patient who presents with sudden and unexplainable onset of nonspecific symptoms such as headache, fatigue, cognitive deficits, weight gain, or...

Daily nasal irrigation is a recipe for sinusitis relief. (Minimizes Symptoms).
April 1, 2003... NEW ORLEANS - Daily nasal irrigation with hypertonic saline solution improves sinus symptoms and quality of life and decreases medication use in adults with a history of sinusitis. One teaspoon of salt, 1/2 teaspoon of baking soda, and 1...

Acute bacterial sinusitis. (Women's Health Adviser).
April 1, 2003... Each year, more than 30 million American adults are diagnosed with acute rhinosinusitis--infections that occur within the dosed confines of the sinus cavity. Acute bacterial rhinosinusitis is most often a complication of a viral upper...

HIPAA demands encrypted e-mail. (Communicating with Patients).
April 1, 2003... COLORADO SPRINGS -- Physicians using regular e-mail to communicate with patients are strongly advised to switch to a secure messaging service that will meet new HIPAA requirements, said Dr. C.T. Lin, senior medical director of informatics at...

Minority access to care not just a money issue. (Small Business Employees, Immigrants).
April 1, 2003... BALTIMORE -- Sure, lack of money to pay health insurance premiums is one reason that so many minority patients have less access to the health care system than other patients. But it's not the only reason, according to Tom Perez, who is the...

Doctors' legal anxiety drives testing, referrals. (83% Don't Trust Justice System).
April 1, 2003... WASHINGTON -- Physicians are running scared from a legal system they no longer trust. A Harris Interactive poll of 300 physicians showed that 83% didn't trust the current system of justice to achieve a "reasonable result" if sued. Also,...

Doctors embrace medicare, malpractice reform. (AMA National Advocacy Conference).
April 1, 2003... WASHINGTON--The undercurrent in the hotel ballroom ranged from "Right on!" and "You said it!" to a standing ovation and a loud roar of approval. It seemed that no matter what politicians from the White House and Capitol Hill said, the members...

Teen access to confidential care. (Policy & Practice).
April 1, 2003... Teens seeking treatment for pregnancy, contraception, STDs, and mental health often cannot rely on their primary care physicians to treat them confidentially. According to a survey by Dr. Lara J. Akinbami of Children's National Medical Center,...

Supreme Court on abortion protests. (Policy & Practice).
April 1, 2003... Abortion opponents were celebrating the U.S. Supreme Court's 8-1 ruling that authorities cannot use federal racketeering and extortion laws to prosecute clinic protesters. But abortion supporters were quick to point out that the federal Freedom...

Pennsylvania malpractice concerns. (Policy & Practice).
April 1, 2003... The medical malpractice crisis in Pennsylvania has directly affected fewer than 1 in 10 state residents who responded to a poll by the Allentown Morning Call newspaper and Muhlenberg College, Allentown, Pa. However, two-thirds of respondents...

States vs. drug companies. (Policy & Practice).
April 1, 2003... Michigan and Vermont--two of the states pushing hardest to control Medicaid prescription drug costs--have announced a partnership to boost their buying power with pharmaceutical companies. Under the plan, which is the first such cooperative...

A patient's right to sue. (Policy & Practice).
April 1, 2003... Patients have the right to sue health insurers who refuse to authorize medically necessary treatment, the U.S. Court of Appeals has ruled. Dr. Richard Corlin, immediate past president of the American Medical Association, applauded the ruling,...

New formula for Skin Adhesive. (Products).
April 1, 2003... High Viscosity Dermabond Topical Skin Adhesive (2-octyl cyanoacrylate) is approved as a topical application to hold closed easily approximated skin edges of wounds from surgical incisions, including punctures from minimally invasive surgery and...

Alavert approved. (Products).
April 1, 2003... Alavert (loratadine) is approved as an over-the-counter orally disintegrating tablet. It is indicated for symptoms of hay fever or other upper respiratory allergies, such as runny nose, sneezing, itchy and watery eyes, and itching of the nose...

New dose of Flexeril. (Products).
April 1, 2003... Flexeril (cyclobenzaprine) is now approved in a 5-mg tablet dose for use as an adjunct to rest and physical therapy for the relief of muscle spasm associated with acute, painful, musculoskeletal conditions. The drug is contraindicated in...

Line of catheters and needles. (Products).
April 1, 2003... The Efficere Series of assisted reproduction devices is a new line of catheters and needles made by SAGE Assisted Reproduction Products, a CooperSurgical company. For more information, contact CooperSurgical Inc., 800-243-2974; fax,...

New strength for acne rx. (Products).
April 1, 2003... Triaz gel and cleanser is now available in 9% benzoyl peroxide strength. The gel and cleanser are indicated for use in the treatment of acne vulgaris. The gel is available in a 1.5-ounce tube, and the cleanser is available in 6-ounce and...

Cleanser for rosacea. (Products).
April 1, 2003... Rosanil (sodium sulfacetamide 10% and sulfur 5%) cleanser is available to treat rosacea. The cleanser can be used once or twice daily during the initial treatment phase. Patients should apply to wet skin and massage, waiting 10-20 seconds...

Xanax XR. (Products).
April 1, 2003... Xanax XR (alprazolam) is approved for the treatment of panic disorder. The extended-release tablets are contraindicated in patients with known sensitivity to benzodiazepines or with acute narrow-angle glaucoma. The drug is also contraindicated...

Overactive bladders get dose of Botox. (Refractory to Medical TX).
April 15, 2003... FORT LAUDERDALE, FLA.--Botox isn't just for wrinkles--it's for some overactive bladders, too. Studies show that Botox can be an effective nonsurgical treatment for patients with overactive bladder who fail to respond to medical therapy,...

Study questions HRT's benefits on quality of life: findings may not be applicable to women with severe postmenopausal symptoms. (Women's Health Initiative).
April 15, 2003... Combination hormone replacement therapy does not have any clinically meaningful benefits on overall health-related quality of life in postmenopausal women, according to new data from the Women's Health Initiative. Researchers found no...

Malpractice crisis blamed for Match Day results: lowest fill rate for U.S. seniors in 5 years. (ACOG 'Concerned).
April 15, 2003... The medical malpractice crisis is a likely cause for the slight downturn in this year's Match Day results for obstetrics-gynecology. Ob.gyn. residency programs in 2003 offered 1,151 positions--13 more than last year--but filled only 1,050...

Two tests flag congenital heart defects. (Nuchal Thickness, Echocardiography).
April 15, 2003... SAN FRANCISCO--The combination of nuchal thickness measurements and fetal echocardiography can effectively screen for congenital heart defects, according to two studies presented at the annual meeting of the Society for Maternal-Fetal Medicine....

Avoid labor augmentation in breech deliveries if a Cesarean delivery is impossible. (Term Breech Trial).
April 15, 2003... SAN FRANCISCO--If a breech fetus cannot be delivered by Cesarean section before ,the onset of labor, there are still some strategies that can be used to decrease the risk of perinatal complications, Dr. Mm Su said at the annual meeting of the...

Let's talk about sex. (Guest Editorial).
April 15, 2003... Now more than ever, it's important for physicians to have a broad perspective on the subject of sexual health. Today's consumers are much more sophisticated. They are inundated with information about what should be considered normal,...

Letters.
April 15, 2003... Make Womb for Caution Label Mothers should be required to advise their fetuses that, because of the unyielding exposure to the known carcinogen estrogen and the potential carcinogen progesterone, the fetuses are at increased risk for...

C-section rate rises with age--from 9% to 28%. (Study Over 8-Year Period).
April 15, 2003... SAN FRANCISCO -- As maternal age rises, so does the chance of cesarean section in both nulliparous women and candidates for vaginal birth after a previous C-section with term singletons in low-risk pregnancies, Dr. Anna McKeown said. The...

Monitor pregnant vegetarians' cobalamin level. (Two Case Reports).
April 15, 2003... Two case reports from Georgia serve as sobering reminders that physicians should be vigilant about making sure that pregnant vegetarians are getting enough cobalamin (vitamin B12) in their diets. In the first case, a girl aged 15 months was...

IBD patients generally have good perinatal outcomes. (Higher C-Section Rate).
April 15, 2003... SAN FRANCISCO -- Pregnant women with inflammatory bowel disease were more likely to have a cesarean section than those without the disease, but perinatal outcomes were similar between groups in a retrospective chart review. In a study of...

Untreated hypertension ups IUGR risk by two- to threefold. (Chronic Condition).
April 15, 2003... CANCUN, MEXICO -- Chronic, untreated hypertension is the most common maternal cause of intrauterine growth restriction. About 3%-7% of pregnant woman have untreated, chronic hypertension, which makes it the most common medical complication...

Postpone pregnancy 1-2 years after a liver transplant. (Largest Single-Institution Series).
April 15, 2003... SAN FRANCISCO -- Liver transplant recipients who delay pregnancy for at least 1-2 years after transplantation until allograft function is more stable have a good chance of giving birth, Dr. Melissa C. Bush reported in a poster presentation at...

Routine antibiotics benefit elective C-sections. (Study: $2.6 Million Annual Cost Savings).
April 15, 2003... SAN FRANCISCO -- Routinely giving prophylactic antibiotics to women undergoing uncomplicated elective cesarean deliveries could prevent 25,000 cases of endometritis and wound infections each year in the United States and save $2.6 million in...

Uniform Obstetrical-Ultrasound accreditation standard planned. (Different Standards at Present).
April 15, 2003... CANCUN, MEXICO -- Accreditation of the ultrasound imaging practices of ob.gyns. is available, but the standards are not set or endorsed by the American College of Obstetricians and Gynecologists. Instead, accreditation is done by the...

Get experienced help for unexpected shoulder dystocia. (Without Macrosomia).
April 15, 2003... CANCUN, MEXICO -- Macrosomia is not the only route to shoulder dystocia. "The problem with shoulder dystocia is that not all cases involve babies who are more than 4,500 g or even more than 4,000 g," Dr. John T. Queenan said at a...

Cameras help bridge cultural gaps, influence care. (Pregnant Hispanic Women).
April 15, 2003... KIAWAH ISLAND, S.C. -- Equipping Hispanic expectant mothers with cameras can be a valuable tool in allowing physicians to break down culture and language barriers and to understand these patients' concerns, Pamela Frasier, Ph.D., reported. ...

High AFI linked to greater external version. (AFI More Than 15 CM).
April 15, 2003... SAN FRANCISCO -- A higher amniotic fluid index was associated with a greater rate of successful external cephalic version of a breech fetus in a prospective, observational study of 1,361 patients. The study examined only the influence of...

Drop in perinatal transmission only HIV success. (Expert Opinion).
April 15, 2003... KEY LARGO, FLA. -- The good news regarding HIV infection in the United States is that the risk of perinatal transmission is now less than 2%. The bad news is that over Americans are becoming complacent about HIV and AIDS, Dr. May J....

Organisms in amniotic fluid after genetic amnio. (Pregnancy Outcomes Unaffected).
April 15, 2003... KEY LARGO, FLA. -- Genetic amniocentesis introduces microorganisms into the amniotic fluid, but there were no differences in pregnancy outcomes in women who underwent the procedure compared to other obstetric patients. "Despite our sterile...

Vaginal delivery OK after total hip replacement. (Studies Show Low Risk).
April 15, 2003... NEW ORLEANS -- Vaginal delivery is feasible for women who have undergone total hip replacement, according to data from two studies presented in poster form at the annual meeting of the American Academy of Orthopaedic Surgeons. One study,...

Hysteroscopic sterilization widens patient options. (Rapid Patient Recovery).
April 15, 2003... BIG SKY, MONT. -- Hysteroscopic sterilization is a new and appealing option for selected women seeking. sterilization, Dr. Eric Bieber said at a meeting on gynecology, gynecologic oncology, and reproductive endocrinology. Hysteroscopic...

Drug update: genital warts. (Gynecology).
April 15, 2003... Medical treatment of external genital warts falls into two basic categories: patient applied and provider applied. Patient-applied treatments include imiquimod and podofilox. Agents administered by providers include podophylilin resin,...

Telltale signs, history help diagnose sexual abuse. (Anogenital Lesions in Children).
April 15, 2003... ASPEN, COLO. -- Often it takes a good medical detective to determine if anogenital lesions in children are the result of sexual abuse, according to Dr. Elaine C. Siegfried. Many cases lack absolute diagnostic signs of abuse, so the...

Data on ovarian Ca, HRT use called insufficient. (Literature Review).
April 15, 2003... The best available evidence is insufficient to determine whether estrogen or estrogenprogestin therapy affects the risk of ovarian cancer, Dr. Terry Mahotiere said in a poster session at the annual meeting of the American College of Preventive...

Folate may reduce breast cancer risk in drinkers. (Nurses' Health Study).
April 15, 2003... A high intake of folate may reduce the risk of breast cancer in women who consume moderate levels of alcohol, Dr. Shumin M. Zhang of Brigham and Women's Hospital, Boston, and colleagues reported. Their findings are based on an analysis of...

Single-visit screen-and-treat approach explored. (High-Grade Cervical Lesions).
April 15, 2003... NEW ORLEANS -- A single-visit screen-and-treat approach in patients found to have high-grade cervical lesions is feasible and virtually eliminates loss to follow-up, results of a prospective, randomized trial suggest. Of 1,993...

Are gynecologic oncologists better at endometrial Ca care? (Study says Yes).
April 15, 2003... NEW ORLEANS -- Gynecologic oncologists are better suited than general gynecologists to care for endometrial cancer patients, findings from a retrospective study suggest. Study participants who were treated by gynecologic oncologists were...

Whites aren't more likely to get mammogram than blacks, Hispanics. (Results of Large Survey).
April 15, 2003... SAN DIEGO -- White women are no longer more likely to receive periodic screening mammograms than black and Hispanic women, Dr. Alma Jones reported in a poster session at the annual meeting of the American College of Preventive Medicine. ...

Consider less common causes of vulvar pain. (Nerve Dysfunction, Vestibulitis).
April 15, 2003... KEY LARGO, FLA. -- The differential diagnosis for a patient with vulvar pain should go beyond common causes such as bacterial vaginosis, candidiasis, or trichomonas infections. Clinicians should also consider lichen planus, genital human...

Diagnosis of genital erosions can prove elusive. (Look to other Body Parts).
April 15, 2003... HOUSTON -- Erosive diseases of the genitalia are a diagnostic challenge because they're often associated with an array of nonspecific symptoms, according to Dr. Elizabeth Edwards. Yet accurate diagnosis and appropriate management are...